| NPI | 1700803392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAVUK Director Finance 516-572-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-04-21 |